Organization Active NPI

Southampton Primary Care

  • Internal Medicine Physician
  • Franklin, VA
National Provider Identifier
1881700946
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101232415 Issued in VA
Legal business name
SOUTHAMPTON PRIMARY CARE
Practice address
102 Fairview Dr
Suite F
Franklin, VA 23851
Phone
(757) 562-1421
Fax
(757) 562-1423
NPI assigned
Aug 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Itrish Jouby Scott-Brown, M.D.NPI 1750501979
Title
Physician
Phone
(757) 562-1421

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 0101232415 VA Primary

Addresses

Primary practice location

102 Fairview Dr
Suite F
Franklin, VA 23851

Mailing address

P.O. Box 26
Franklin, VA 23851
Phone (757) 562-1421

Other identifiers 1

IdentifierTypeStateIssuer
010029261MedicaidVA

National Provider Directory

National Provider Directory

Locations

102 Fairview Dr
Ste F
Franklin, VA 23851
Phone (757) 304-9852

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308182400000",
    "number": "1881700946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 26",
            "city": "FRANKLIN",
            "state": "VA",
            "postal_code": "23851",
            "telephone_number": "757-562-1421",
            "fax_number": "757-562-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 FAIRVIEW DR",
            "address_2": "SUITE F",
            "city": "FRANKLIN",
            "state": "VA",
            "postal_code": "23851",
            "telephone_number": "757-562-1421",
            "fax_number": "757-562-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHAMPTON PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2011-06-16",
        "status": "A",
        "authorized_official_last_name": "SCOTT-BROWN",
        "authorized_official_first_name": "ITRISH",
        "authorized_official_middle_name": "JOUBY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "757-562-1421",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101232415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010029261",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.